HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
- 2300 VaGINIA AVENUE FORT PIERCE, FL 34982-5652 RECEIVED.
(772) 462-1553 pECEI VE
SCANNEL FILLED LAND AFFIDAVIT OCT s o 2019
BY ST• Lucie County, permitting
St. Lucia r-
I, the undersigned, am the owner of the following described property,
(Parcel IdN/Legal description/Address)
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final. Development Permit, BP Number I acknowledge
that as owner of the above described property, and in accordance with Section
7.04.01(D), St. Lucie County Land Development Code, I shall be responsible for assuring
adequate drainage so that the immediate community WILL NOT be adversely affected.
I further acknowledge that in granting this permit for the development of this property,
St. Lucie County is neither obliged nor liable to provide for, or maintain in any form,
adequate drainage off my property which will not adversely affect the immediate
community.
c 9 o e
Property er an (P ase Print)
Prop Owner I ure Date
STATE OF FLORIDA, COUNTY OF
tC
ACKNOWLEDGED BEFORE METHIS DAY OF 6 C -1z 'd (F)r- 20—�Y—
BYh)«'r/4G-5L YfIVOiLSK i� WHO IS PERSONALLY KNOWN TO ME( CbOR WHO HAS
PRODUCED AS IDENTIFICATION.
S AT OFNOTARYPUBLIC TYPE OR PRINT NOTARY
COMMISSION NUMBER
(SEAL) i s JOANNEWAIS
. .. Commisebe/00212813
EoreeFebluaryA2023
`�, q'ti.�" BadedTNuTiq F�hhnA�we0a4l3701a
SLCPDSD Revised 041112011
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